Information Collection

UIC Program - States and Local

IC 182118 under ICR 201412-2040-001 · OMB 2040-0042.

⚠️ Notice: This information collection may be referencing outdated material. More recent filings for OMB 2040-0042 can be found here:

Documents and Forms

Document Name Document Type
Form 7520-6 UIC Program - States and Local Form and Instruction
7520-1 Permit Review and Issuance 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-2a Compliance Evaluation 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-2b Compliance Evaluation - SNC 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-3 Inspections and MIT 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-4 Quarterly Exception List 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-6 UIC Permit Application 0370supp25 Appendix E - Forms.pdf Form and Instruction
7520-8 Injection Well Monitoring Report 0370supp25 Appendix E - Forms.pdf Form and Instruction

Information Collection (IC) Details

View Information Collection (IC)

IC Title:	UIC Program - States and Local	Agency IC Tracking Number:

Is this a Common Form? No		IC Status: Modified

Obligation to Respond: Mandatory

CFR Citation: 40 CFR 144 40 CFR 145 40 CFR 146 40 CFR 147 40 CFR 148 40 CFR 124

Information Collection Instruments:

Document Type	Form No.	Form Name	Instrument File	Available Electronically?	Can Be Submitted Electronically?	Electronic Capability
Form and Instruction	7520-6	UIC Permit Application	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-8	Injection Well Monitoring Report	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-1	Permit Review and Issuance	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-2a	Compliance Evaluation	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-2b	Compliance Evaluation - SNC	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-3	Inspections and MIT	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable
Form and Instruction	7520-4	Quarterly Exception List	0370supp25 Appendix E - Forms.pdf	Yes	No	Fillable Printable

Line of Business: Environmental Management

Subfunction: Pollution Prevention and Control

Privacy Act System of Records
Title:	FR Citation:

Number of Respondents: 58	Number of Respondents for Small Entity: 0

Affected Public: State, Local, and Tribal Governments

Percentage of Respondents Reporting Electronically: 1 %

	Approved	Program Change Due to Agency Discretion	Change Due to Adjustment in Agency Estimate	Previously Approved
Annual Number of Responses for this IC	135,645	0	85,724	49,921
Annual IC Time Burden (Hours)	279,078	-4,640	112,814	170,904
Annual IC Cost Burden (Dollars)	64,101	0	-384,821	448,922

Documents for IC

Title	Document	Date Uploaded
No associated records found

Blank fields in records indicate information that was not collected or not collected electronically prior to July 2006.